Discover and read the best of Twitter Threads about #pregnancy

Most recents (24)

#OBGYN #pregnancy #COVID19 The obstetrician Kimberely Biss out of Florida is quite misguided on her statements in the hallway. One of the simplest rules of research is that you cannot necessarily generalize your personal experience to the whole population.
The actual situation on cervical cancer screening is more complicated than what she discusses - there was a lapse in screening/ diagnosis, which needed to catch up. She implies that COVID vaccines cause cervical cancer - NO, HPV does (in most cases). jamanetwork.com/journals/jamao…
COVID vaccines do not raise the miscarriage rate - cidrap.umn.edu/covid-19-vacci…
Miscarriage can be one of the most traumatic experiences ever but even then, systematic analysis is necessary.
Read 6 tweets
#vaccineswork #pregnancy #COVID19 Wrong on all counts Steve. Here's the actual updated data on the matter, from someone who actually looks at this stuff professionally. Thank you to @VikiLovesFACS
drive.google.com/file/d/1_wHIYX…

Maternal vaccination with two doses of mRNA vaccine was associated with a reduced risk of hospitalization for Covid-19, including for critical illness, among infants younger than 6 months of age.
nejm.org/doi/full/10.10…
Severe complications known to be associated with COVID-19 in pregnancy (critical care admission and perinatal mortality) were more common in women who were unvaccinated at the time of COVID-19 diagnosis than in vaccinated pregnant women. nature.com/articles/s4159…
Read 4 tweets
Every lie will eventually be revealed.

@VikiLovesFACS and @kevinault have been pushing untested COVID vaccines for #pregnancy on the basis of a reduction in preterm labour risk.

It was a lie.
ncbi.nlm.nih.gov/pmc/articles/P… Image
This has happened with every paper looking at 3+ doses. When you look at the 2-dose patients in those studies, the claimed benefit disappears.

It's because the original findings were just an artefact. The benefit was fake.
ncbi.nlm.nih.gov/pmc/articles/P…
@MartinNeil9
This is literally the definitive debunk of the first COVID vaccine study - the Dagan study.

All the "efficacy" was just miscategorisation bias because all cases prior to 5 weeks post-jab were counted as "unvaccinated"

zenodo.org/record/5243901
Read 7 tweets
This one suggests that among children and adolescents with overweight/obesity, those born small for gestational age are more likely to possess cardiometabolic risk factors compared to their counterparts born appropriate for gestational age.
- Small for gestational age in children and adolescents with overweight or obesity was associated with cardiometabolic risk factors, including increased odds for hypertensive blood pressure, elevated HbA1c, elevated ALT, and low HDL.
- On the contrary, large for gestational age was associated with lower odds for hypertensive blood pressure, elevated HbA1c, and elevated ALT.
Read 5 tweets
As the year ends, it's time once again to discuss some of the best clinical papers in the 🦴 #bone field in 2022!

A long 🧵
@Sandroppa @ECTS_science @larsfolkestad
Nr. 1: Supplemental #VitaminD and Incident #Fractures in Midlife and Older Adults @NEJM

No effect in the VITAL trial although confidence intervals do not exclude meaningful reduction in patients on osteoporosis meds or with fracture history

nejm.org/doi/full/10.10…
#VitaminD Deficiency Increases Mortality Risk in the UK Biobank
A Nonlinear Mendelian Randomization Study

Risk increased steeply < 50 nmol/L and was greater with genetic than phenotypic vitamin D deficiency
@AnnalsofIM
acpjournals.org/doi/10.7326/M2…
Read 42 tweets
I have been noticing more issues with low iron amongst my obstetrics and gynaecology patients lately so thought we should do a thread on iron...

Why is iron important?
Why can iron be low?
How can you get more iron?

#iron #anemia #pregnancy #periods #ObGynTwitter #MedTwitter
Iron (Fe) is a super important mineral for us.

Iron the centre of the heme group, which sits in the centre of each subunit of the hemoglobin protein structure.

Hemoglobin proteins pack the inside of our red blood cells.
Iron at the core of each hemoglobin molecule binds oxygen.

There are ~260 million hemoglobin molecules in each red blood cell and we each have ~25 trillion red blood cells in circulation!

This is our transport system for oxygen to get from our lungs to our cells and organs.
Read 11 tweets
This mornings rant is about #paidfamilyleave in Colorado & how #voters overwhelmingly passed FAMLI

[& employers can now register for CO’s new program finally; employees max 12 weeks of paid leave a yr + 4 additional wks for #pregnancy or #childbirth complications]

#copolitics
Let’s get 1st thing straight - this 🧵 is no insight into the near 15 yrs #advocates fought for #paidfamilyleave at the CO state Capitol before #voters passed it on the #ballot

I, like many folks - came into the advocacy for #FAMLI yrs after lots of fight. Grateful to have it
Many of us worked on the #ballotmeasure in 2020 & #voters approved the program by 57% of the vote ✨ the amount of barriers set in place to #advocate for #paidfamilyleave & #pass it & then #implement it - have been eye opening 👁 to say the least. #copilitics
Read 17 tweets
Delhi High Court orders LNJP Hospital to examine 33-week pregnant woman seeking abortion by 1 PM today

report by @NarsiBenwal

barandbench.com/news/delhi-hig…
Update: Counsel for LNJP hospital appears before the court and informs that considering the advanced stage of pregnancy, the request for medical termination of pregnancy (MTP) has been rejected by medical board.
#DelhiHighCourt #MTP #pregnancy
Justice Prathiba M Singh is considering the one-page report presented to the court.
#DelhiHighCourt #MTP #pregnancy
Read 31 tweets
It's Day 4 of #PregnancyHelpAppreciationWeek and today we really want to highlight the amazing work those in the pregnancy help movement and pro-life movement do.

A lot of blood, sweat, and tears goes into providing pregnancy help. Most official pregnancy help centers are...
1/
...substantially run on volunteer power and community donations, for example. A lot of smaller pregnancy help and grassroots activism orgs and groups are also run on volunteer (wo)manpower and donated time, money, and effort.

Yet the effect we can have overall is massive.
2/
Collectively, this movement helps *literally* millions of women, children, and families a year, all at NO COST to the woman herself. We freely provide material goods, education, support, connections, financial aid, housing, medical care, and more - help worth...
3/
Read 7 tweets
The prevalence of #rheumatoidarthritis 🌍 ~1%

🙀 So ~14 million suffer from RA!

So we 👩‍⚕️ have to deal with special situations while managing this fairly common disease!

#MedTwitter #MedEd #rheumatology #RheumTwitter

@MedTweetorials @nihardesai7

(1/9)
Let's begin with one of the most beautiful miracles of life ☺️

#pregnancy in #rheumatoidarthritis

(2/9)
🤔Is it safe to conceive for a patient with RA? 🤰

👉Overall it is safe ☑️☑️☑️

👉But a mild risk of hypertensive disorders, IUGR and need for caesarian section +!

(3/9)
Read 9 tweets
#Massachusetts lawmakers just voted to use tax dollars for a million-dollar PR campaign attacking the life-saving work of Pregnancy Resource Centers with lies and harassment.

Call Gov. Baker @MassGovernor
617-725-4005. Ask him to veto lines 1599-6072 in H.5374. @HowieCarrShow Image
Here’s the sickening details of this outrageous law, from @sbalist sbaprolife.org/newsroom/press…
Thanks @KatieGlenn_ @sbaprolife @CatholicDrive! Great segment tax funded demonization of #pregnancy resource centers. Hear the details at the 16:30 mark of today’s show. @MassGovernor you listening? @CardinalSean @MassProLife @1060AM_WQOM #ProLife podcasts.apple.com/us/podcast/cat…
Read 5 tweets
Just out! A new meta-analysis of 81,349 ppl receiving #CovidVaccine during #pregnancy compared to 255,346 unvaccinated. Vaccination...

👉🏻 Protects against infection

👉🏻 Lowers chance of stillbirth by 27%

👉🏻 Lowers chance of babies needing NICU by 12%

jamanetwork.com/journals/jamap…
I’ve been asked for some additional context around whether the 27% reduction in stillbirth reported by this paper is likely to be an overestimate…

🧵
This is particularly worth considering because a similar meta-analysis found that the rate of stillbirth was reduced by 15% among those vaccinated in pregnancy - rather less than the 27% reported here… 2/

nature.com/articles/s4146…
Read 11 tweets
Most of the very extensive data showing that #CovidVaccines are safe and effective in #pregnancy was collected in the general rollout.

Is this okay? Shouldn’t we have trial data?

Let’s talk about the ethics of vaccine trials in pregnancy! 🧵…

drive.google.com/file/d/1_wHIYX…
First, let’s note that we do have some data on pregnancy from the COVID vaccine trials. Participants were asked not to become pregnant, but some did by accident. The outcomes for these pregnancies were monitored as part of the trials, with no concerns emerging. 2/
Because…

1. What little data we had was reassuring

2. What we know of 💉 biology suggested there would not be any problems in 🤰🏻

3. COVID 🦠 *does* cause problems in pregnancy

… some countries 🇺🇸 🇮🇱 opted to offer the 💉 and let 🤰🏻 decide

3/
Read 14 tweets
If you are #pregnant, the #CovidVaccine is strongly recommended and you will soon be offered a booster. #BoostTheBump

The recommendation is made on the basis of extensive data that the vaccine is safe and effective, by the following bodies… 1/

drive.google.com/file/d/1_wHIYX…
The UK government… 2/

gov.uk/government/pub…
Read 8 tweets
If you are #pregnant in the UK, the @NHSuk strongly recommends that you get the #CovidVaccine if you are not already protected.

The advice has not changed!

So why are some people saying that it has? 🤔

🧵...

nhs.uk/conditions/cor…
In December 2020, Pfizer submitted data on its vaccine to the MHRA for temporary approval, which was granted. The documents on this are in the public domain... 2/

gov.uk/government/pub…
Periodically, Pfizer sends the MHRA some more data. On 16 August, they sent some additional data on boosting with different brands of vaccine. The documents were updated accordingly. 3/

gov.uk/government/pub…
Read 9 tweets
85,162 ppl giving birth in 🇨🇦May - Dec ‘21, of whom 43,099 had a #CovidVaccine during #pregnancy.

👉🏻 No increased risk of stillbirth, preterm birth or being born smaller than expected following vaccination.

1/

bmj.com/content/bmj/37…
In fact, the authors found a slight reduction in the risk of stillbirth and very preterm birth among those vaccinated. Although they controlled for known confounders, they didn’t feel confident that this wasn’t due to residual confounding. 2/
However, it is in line with the findings from other large studies which show a reduced risk of stillbirth following vaccination… 3/

nature.com/articles/s4146…
Read 4 tweets
For those interested in the miscarriage rate among those who became pregnant during the trial of the Pfizer #CovidVaccine….

👉🏻 Vaccine group 7%

👉🏻 Control group 15%

👉🏻 These rates are not significantly different from each other, or from normal

1/

fda.gov/media/152256/d…
These data were published about a year ago, but ppl are talking about it today because Naomi Wolf has looked at the FOI data and claims she has found a miscarriage rate of 44%. Unclear how she has done this but seems to be a combination of… 2/
👉🏻 Accidentally counting everything twice (oops)

👉🏻 Counting some ppl who didn’t have miscarriages (eg. males)

👉🏻 Counting miscarriages among the control group (ie. ppl who did not get vaccinated). 3/3
Read 4 tweets
How long is #COVID19 infectious? #COVID19infectionpersistence Those with SARS-CoV-2 are often advised to isolate for only a few days. But evidence is mounting that some people can continue to pass on the virus for much longer. nature.com/articles/d4158…
Read 16 tweets
Weekend Digest

Name the Pathogen

Five Clues
1. Tumbling #GPB
2. #Pregnancy
3. #Delicatessen
4. #Meningoencephalitis
5. #Ampicillin + #gentamicin Image
#Listeria monocytogenes

High-risk foods: unpasteurized cheeses, hot dogs and deli/lunchmeats.

High-risk groups:
- pregnant women
- newborns
- older adults
- people with weakened immune systems
#Listeriosis in pregnancy
1. Febrile gastroenteritis
2. Bacteremia
3. CNS infection uncommon

Most common in 3rd trimester

Listeria can cross placental barrier —> fetal death, premature birth, infected newborn

Granulomatosis infantiseptica

eurosurveillance.org/content/10.280…
Read 4 tweets
De retour dans l’univers des IA qui génèrent des images, je teste “Midjourney” (en open beta)

Je suis impressionné par l’IA et par l’UI, c’est sous la forme d’un bot Discord 😮
« Goku en train de manger des spaghetti »
#AIart #Midjourney #DragonBall Image
Quelqu’un a demandé “true love” et a obtenu ça 😮

Presque toutes les variations et agrandissements on été demandés 😀
#AIart #love Image
Read 60 tweets
New preprint looking at 32,536 ppl giving birth in Melbourne 🇦🇺of whom 17,356 received a #CovidVaccine in #pregnancy

👉🏻 Congenital abnormalities, preterm birth and stillbirth all significantly *lower* in the vaccinated group.

medrxiv.org/content/10.110…
🤓 Section

Though this is in line with what we expect, I was surprised to see such clear results in a single study - albeit a big one. Is there a bias here?

In this cohort the vaccinated are generally healthier and wealthier, but the authors adjust for this. 2/
They also restrict the sample to ppl for whom weeks 20-43 following LMP fall entirely within the study period, to avoid fixed cohort bias. 3/
Read 8 tweets
A) a fetus dies inside of the uterus, but fails to evacuate. The mother becomes septic. She is given an Dialation & Curettage

B) A woman chooses to end her #pregnancy She is given a Dialation & Curettage

Are these both #ABORTIONS ?

#RoeVsWade #AbortionBan
C) in the first trimester a woman has a partial placental abruption, the fetus is failing to thrive, miscarriage is nearly inevitable. She has a D&C

D) a woman decides to end her pregnancy. She has a D&C

Are both abortions?
E) a woman is diagnosed with cancer. The treatment will slowly terminate her pregnancy, and could cause serious complications. No treatment = death. She has a D&C

F) a woman decides to end her pregnancy. She has a D&C
Read 14 tweets
Hot but not bothered?🧠🔥 Our paper on human brain temperature is out today in Brain! @ONeill_Lab @MRC_LMB @Brain1878 #LMBResearch #BrainTemp #BrainTrauma doi.org/10.1093/brain/…
With thanks to our amazing participants, collaborators, and supporters @AriErcole @Etherjoe @ManuelCabeleira @CescaStats @EdinUniImaging @EdinUniNeuro @EdinUniBrainSci @CenterTBI @CellBiol_MRCLMB @RachelSEdgar and @The_MRC for funding
In a prospective analysis of healthy men and women, we found that brain temperature is higher than body temperature; brain temperature ranges from 36.1 to 40.9°C, with an average of 38.5C 🧠🔥.
Read 11 tweets
🧵 Question Abt: Transplantation and Fetal Toxicity of Immunosuppressive Drugs in Pregnancy. 1/13 #Access #ProLife #prochoice #SCT #AbortionBan #healthcare
Q: What is the medical safety net for premenopausal women that are also transplant recipients who MUST take multiple immunosuppressive drugs? 2/13

#Access #ProLife #prochoice #SCT #AbortionBan #healthcare
She can’t depend on the #pill to prevent an unwanted #pregnancy because of daily antibiotics. 3/13

#Access #ProLife #prochoice #SCT #AbortionBan #healthcare
Read 14 tweets

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